Active NPI
Kim B. Knox, NP
- Nurse Practitioner
- Edmond, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R0047398
- Practice address
- 3801 NW 166TH St Ste 4
Edmond, OK 73012-9279 - Phone
- (405) 359-1122
- Fax
- (405) 359-1100
- NPI assigned
- Mar 29, 2006
- Last updated
- Dec 19, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R0047398 | OK | Primary |
Addresses
Primary practice location
3801 NW 166TH St Ste 4
Edmond, OK 73012-9279
Mailing address
3801 NW 166TH St Ste 4
Edmond, OK 73012-9279
Phone (405) 359-1122
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100136730A | Medicaid | OK | |
| 100136730B | Medicaid | OK |
Other names 1
- Kim Binkley Dever
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3801 NW 166TH St
Suite 4
Edmond, OK 73012-9279
Phone (405) 359-1122
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0047398 | OK | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deer Creek Family Healthcare and Wellness Clinic LLC | Current | Accepting new patients | |
| Mercy Health Services Inc. | Past | Accepting new patients | |
| Summit Medical Center | Past | Accepting new patients | |
| Neighborhood Family Clinic and Minor Emergency Services | Past | Accepting new patients | |
| Neighborhood Family Clinic & Minor | Past | Accepting new patients |
Locations
19409 N Portland Ave
Edmond, OK 73012
Phone (405) 359-1122
3801 NW 166th St
Ste 4
Edmond, OK 73012
Phone (405) 359-1122
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Primary Care Clinic/Center
- Edmond, OK
- NPI 1003227414
-
dba Mercy After Hours
- Medical Specialty Clinic/Center
- Yukon, OK
- NPI 1255398251
-
- Primary Care Clinic/Center
- Oklahoma City, OK
- NPI 1730304320
-
- Clinic/Center
- Oklahoma City, OK
- NPI 1629163225
-
- General Acute Care Hospital
- Edmond, OK
- NPI 1356574560
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1649794157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671408000000",
"number": "1871554808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3801 NW 166TH ST STE 4",
"city": "EDMOND",
"state": "OK",
"postal_code": "730129279",
"telephone_number": "405-359-1122",
"fax_number": "405-359-1100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 NW 166TH ST STE 4",
"city": "EDMOND",
"state": "OK",
"postal_code": "730129279",
"telephone_number": "405-359-1122",
"fax_number": "405-359-1100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNOX",
"first_name": "KIM",
"middle_name": "B.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-29",
"last_updated": "2022-12-19",
"certification_date": "2022-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OK",
"license": "R0047398",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100136730A",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100136730B",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KIM",
"last_name": "DEVER",
"middle_name": "BINKLEY",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.